Individual
XIOMARA ALEJANDRA DIAZ CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
60 WATSON BLVD, STRATFORD, CT 06615-7171
(203) 380-5945
Mailing address
1 MORTON ST, NORWALK, CT 06854-2615
(203) 767-4959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11966
CT
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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